Active NPI
Jennifer E Hester, LCSW
- Clinical Social Worker
- Conyers, GA
National Provider Identifier
1871732834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004416
- Practice address
- 977A Taylor St SW
Conyers, GA 30012-5357 - Phone
- (770) 918-6677
- Fax
- (770) 918-6694
- NPI assigned
- Feb 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 004416 | GA | Primary |
Addresses
Primary practice location
977A Taylor St SW
Conyers, GA 30012-5357
Mailing address
PO Box 687
Lawrenceville, GA 30046-0687
Phone (770) 339-5005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004416 | Other | GA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1871732834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 687",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300460687",
"telephone_number": "770-339-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "977A TAYLOR ST SW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300125357",
"telephone_number": "770-918-6677",
"fax_number": "770-918-6694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESTER",
"first_name": "JENNIFER",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-16",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "004416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "004416",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.